[0001] This invention relates to improvements in drug delivery devices and particularly
those for dispensing a metered dose of medicament.
[0002] In metered dose inhalers, an aerosol stream from a pressurised dispensing container
is fired towards a patient or user of the inhaler into an air flow. The air flow is
created by a user inhaling through a mouthpiece of the inhaler and the medicament
is released into this air flow at a point between the air inlet holes and the mouthpiece.
[0003] Conventional metering valves for use with pressurised dispensing containers comprise
a valve stem coaxially slidable within a valve member defining an annular metering
chamber, and outer and inner annular seals operative between the respective outer
and inner ends of the valve stem and the valve member to seal the metering chamber
therebetween. The valve stem is hollow whereby in a non-dispensing position of the
valve stem, the metering chamber is connected to the container and charged with product
therefrom. The valve stem is movable against the action of a spring to a dispensing
position wherein the metering chamber is isolated from the container and vented to
atmosphere for the discharge of product.
[0004] Other drug delivery devices include apparatus in which capsules containing a powdered
medicament are mechanically opened at a dispensing station where inhaled air subsequently
entrains the powder, which is then dispensed through a mouthpiece.
[0005] A problem with all such drug delivery devices is that deposition of the medicament,
or a solid component from a suspension of a particulate product in a liquid propellant,
on the internal surfaces and other components of the devices occurs after a number
of operation cycles and/or storage. This can lead to reduced efficiency of operation
of the device and of the resulting treatment in that deposition of the product reduces
the amount of active drug available to be dispensed.
[0006] Some prior art devices rely on the dispenser being shaken in an attempt to dislodge
the deposited particles as a result of the movement of a liquid propellant and product
mixture. However, whilst this remedy is effective within the body of the container
itself, it is not effective for particles deposited on the inner surfaces of the metering
chamber. As the size of the chamber is significantly smaller, the restricted flow
of fluid in the metering chamber (caused by the tortuosity of the flow path through
the chamber) means that the fluid in the metering chamber does not move with enough
energy to adequately remove the deposited particles.
[0007] One solution is proposed in our pending application GB 97211684.0 in which a liner
of a material such as fluoropolymer, ceramic or glass is included to line a portion
of the wall of a metering chamber in a metering valve. Although this solves the problem
of deposition in these types of dispensers, it does require the re-design or modification
of moldings and mould tools for producing the valve members to allow for the insertion
of the liner.
[0008] It is an object of the present invention to provide drug delivery devices in general
in which the deposition of the product and active drug component is minimised.
[0009] According to the invention there is provided apparatus for dispensing a medicament,
wherein at least a portion of one or more of the internal surfaces of components of
the apparatus which come into contact with medicament during storage or dispensing
has a layer of one or more cold plasma polymerised monomers bonded to at least a portion
thereof.
[0010] A particular embodiment of the present invention will now be described, by way of
example only, with reference to the accompanying drawings, in which:
Figure 1 is a cross-sectional view through an inhaler, which is one type of drug delivery
device of the present invention; and
Figure 2 is a cross-sectional view of a metering valve used in another type of drug
delivery device.
[0011] In Figure 1, an inhaler 10 for a product such as a medicament comprises a housing
11 for receiving a pressurised dispensing container 12 of a medicament and a mouthpiece
14 for insertion into the mouth of a user of the inhaler 10.
[0012] The container housing 11 is generally cylindrical and open at its upper end. A lower
wall 15 of the housing 11 includes an annular socket 16 for receiving the tubular
valve stem 17 of the container 12. The socket 16 communicates via a duct 18 ending
in an orifice 19 with the mouthpiece 14. The lower wall 15 also has holes 20 for allowing
air to flow through the container housing 11 into the mouthpiece 14.
[0013] The mouthpiece 14 may be generally circular or shaped to fit the mouth and is connected
to or forms a part of the housing 11.
[0014] In use, a patient or user holds the inhaler 10, usually in one hand, and applies
his mouth to the mouthpiece 14. The user then inhales through the mouthpiece 14 and
this creates an airflow through the cylindrical housing 11, from its open end around
the dispensing container 12, through the holes 20 and into the mouthpiece 14. After
the user has started inhaling through the mouthpiece 14, the container 12 is depressed
downwardly onto its stem 17 to release a dose of medicament from the container 12.
The dose of medicament is projected by the pressure in the container 12 via the duct
18 and through the orifice 19. It then mixes with the airflow through the mouthpiece
14 and is hence inhaled by the user.
[0015] In traditional inhalers, all of the components are plastic mouldings, which gives
rise to the deposition problems described above. The particular problem areas in devices
such as inhalers are the internal surfaces 21 of the mouthpiece 14, the internal surfaces
22 of the duct 18 and the walls 23 defining the orifice 19. In some inhalers 10, the
diameter of at least a part of the duct 18 can be as little as 0.5mm and so any deposition
on its internal surfaces 22 could lead to not only the problem of a reduction in active
drug components being available, but also dispensing difficulties.
[0016] The metering valve 110 illustrated in Figure 2 is another type of drug delivery device
or dispenser, and includes a valve stem 111 which protrudes from and is axially slidable
within a valve member 112, the valve member 112 and valve stem 111 defining therebetween
an annular metering chamber 113. The valve member 112 is located within a valve body
114 which is positioned in a pressurised container (not shown) containing a product
to be dispensed. The metering valve 110 is held in position with respect to the container
by means of a ferrule 115 crimped to the top of the container and sealing being provided
between the valve body 114 and container by an annular gasket 116.
[0017] An outer seal 117 and an inner seal 118 of an elastomeric material extend radially
between the valve stem 111 and the valve member 112. The outer seal 117 is radially
compressed between the valve member 112 and valve stem 111 so as to provide positive
sealing contact, the compression being achieved by using a seal which provides an
interference fit on the valve stem 111 and/or by the crimping of the ferrule 115 onto
the pressurised container during assembly.
[0018] The valve stem 111 has an end 119 which protrudes from the valve member 112 and ferrule
115 which is a hollow tube and which is closed off by flange 120 which is located
within the metering chamber 113. The hollow end 119 of valve stem 111 includes a discharge
port 121 extending radially through the side wall of the valve stem 111. The valve
stem 111 further has an intermediate section 122, which is also hollow and defining
a central passage and which has a pair of spaced radial ports 123, 124 which are interconnected
through a central cavity.
[0019] A spring 125 extends between a second flange 126, separating the intermediate section
122 of the valve stem 111 and an inner end 127 of the valve stem 111, and an end of
the valve body 114 to bias the valve stem 111 in a non-dispensing position in which
the first flange 120 is held in sealing contact with the outer seal 117. The second
flange 126 is located outside the valve member 112, but within the valve body 114.
[0020] The metering chamber 113 is sealed from the atmosphere by the outer seal 117, and
from the pressurised container to which the valve 110 is attached by the inner seal
118. In the illustration of the valve 110 shown in Figure 1 radial ports 123, 124,
together with the central cavity in the intermediate section 122 of the valve member
111 connect the metering chamber 113 with the container so that in this non-dispensing
condition the metering member 113 will be charged with product to be dispensed.
[0021] Upon depression of the valve stem 111 relative to the valve member 112 so that it
moves inwardly into the container, the radial port 124 is closed off as it passes
through the inner seal 118, thereby isolating the metering chamber 113 from the contents
of the pressurised container. Upon further movement of the valve stem 111 in the same
direction to a dispensing position the discharge port 121 passes through the outer
seal 117 into communication with the metering chamber 113. In this dispensing position
the product in the metering chamber 113 is free to be discharged to the atmosphere
via the discharge port 121 and the cavity in the hollow end 119 of the valve stem
111.
[0022] When the valve stem 111 is released, the biasing of the return spring 125 causes
the valve stem 111 to return to its original position. As a result the metering chamber
113 becomes recharged in readiness for further dispensing operations.
[0023] The component parts of conventional drug dispensing devices, such as valve members,
valve stems, inhaler housings and so on, are generally formed as single mouldings
from material such as acetal, polyester or nylon which are prone to the deposition
problems described above. Although in some cases it might be possible to include a
separate liner of a material such as a fluoropolymer, ceramic or glass to line a portion
of the area in which deposition problems occurs, this requires the re-design or modification
of mouldings and mould tools so that the components can accommodate such liners.
[0024] In the present invention we propose a solution in which the component parts of the
drug dispensing devices are made by conventional tooling and moulds from the traditional
materials listed above. They are then subjected to a cold plasma polymerisation treatment
of one or more monomers which is a "hydrophobic" treatment which creates a very thin
layer of the plasma polymer on the surface of the component parts which significantly
reduces the deposition of active drugs on the relevant surfaces due to factors such
as anti-frictional and waterproof characteristics and low surface energy.
[0025] The preferred monomers to use in this process are perfluoro-cyclohexane or perfluoro-hexane
which would create a thin layer of plasma polymerised fluoro-cyclohexane or fluoro-hexane
on the appropriate surface. Other fluorinated hydrocarbons may also be used, such
as tetrafluoroethylene (TFE), trifluoroethylene, vinylidene fluoride and vinyl fluoride.
The two monomers fluoroethylene and fluoropropylene may also be used to form the copolymer
fluorinated ethylene-propylene (FEP). As a further alternative, siloxanes may be used,
such as dimethyl siloxane, to give a layer of plasma polymerised dimethylsiloxane.
[0026] The process is known as "cold plasma" treatment as the temperature within the body
of the plasma is ambient. Thus thermoplastic materials such as polybutyrene terephthalate
(PBT), nylon, acetile and tetrabutyrene terephthalate (TBT) can be treated without
fear of thermal damage. The treatment is a vacuum procedure in which the components
are placed inside a chamber which is evacuated to less than 0.005 Torr. One or more
monomers are introduced to the chamber at a controlled rate and a 13.56 MHZ r.f. signal
is applied to an external antenna. The plasma is ignited within the chamber and maintained
for a given time at the preselected power setting. At the end of the treatment the
plasma is extinguished, the chamber flushed and the products retrieved. As a result
a thin layer (for example 0.005 to 0.5 microns) of the plasma polymerised material
is intimately bonded to the surface of the component.
[0027] Either an entire component within the drug delivery device, or just the surfaces
of one or more component which would come into contact with the medicament during
actuation, could be treated to provide an improved drug delivery device according
to the present invention. In the case of the type of inhalers as shown in Figure 1,
surfaces 21, 22 and 23 may be treated. In a typical dry powder inhaler, the inner
surface of the mouthpiece and any channel leading to the mouthpiece from the point
of powder storage, i.e. from a capsule, bulk storage chamber or a pre-metered chamber
of a device. In the metering valve of Figure 2, the valve member 112 alone may be
treated. However, additional benefits can be achieved in treating some or all of the
other plastic and rubber parts of the valve, including the valve body 114 and the
seals 116, 117 and 118. Treatment of the seals 117 and 118 has the additional benefit
that fiction between the seals 117 and 118 and valve stem 111 is reduced resulting
in easier operation of the device. The level of friction between the valve stem 111
and seals 117 and 118 may be further reduced by treatment of the valve stem 111 itself.
Such treatment reduces or eliminates the need for silicone emulsions or oils to be
applied to the seals 117 and 118 and valve stem 111. Treatment of the seals 116, 117
and 118 also has the benefits of reducing levels of extractibles where the seals are
manufactured from elastomeric materials, reducing the permeability of the seals to
the propellant in the pressurised dispensing container and reducing the levels of
absorption of product onto the surfaces of the seals. The method can also be used
to treat components of may other delivery devices including nasal pumps, non-pressurised
actuators, foil storage types, breath actuated inhaler devices and breath co-ordinating
devices and so on.
1. Apparatus for dispensing a medicament, wherein at least a portion of one or more of
the internal surfaces of components of the apparatus which come into contact with
medicament during storage or dispensing has a layer of one or more cold plasma polymerised
monomers bonded to at least a cortion thereof with the proviso that the layer is not
of a cold plasma polymerised fluorinated hydrocarbon where the apparatus is a pressurised
dispensing container.
2. Apparatus as claimed in claim 1 in which the one or more monomers for cold plasma
polymerisation where the apparatus is not a pressurised dispensing container are selected
from the group of materials comprising perfluoro-cyclohexane, perfluoro-hexane, tetrafluoroethylene,
trifluoroethylene, vinylidene fluoride, vinylfluoride, fluoroethylene and fluoropropylene.
3. Apparatus as claimed in claim 1 in which the layer is of a cold plasma polymerised
siloxane.
4. Apparatus as claimed in claim 3 in which the monomer for cold plasma polymerisation
is dimethyl siloxane.
5. Apparatus as claimed in any one of the preceding claims in which the treated portion
is made from a plastic polymer of synthetic rubber.
6. Apparatus as claimed in any one of the preceding claims in which the apparatus comprises
a housing adapted to receive a container for storing the medicament, a mouthpiece
and duct means connecting an outlet of the container with the mouthpiece, and at least
a portion of one or more of the internal surfaces of the duct and/or mouthpiece is
treated.
7. Apparatus as claimed in claim 6 in which at least a portion or the surfaces of the
duct and the mouthpiece have a layer of plasma polymer bonded thereto.
8. Apparatus as claimed in any one of claims 1 to 6 in which the apparatus is a metering
valve for use with a pressurised dispensing container, the valve comprising a valve
stem co-axially slidable within a valve member, said valve member and valve stem defining
an annular metering chamber, outer and inner annular seals operative between the respective
outer and inner ends of the valve member and the valve stem to seal the annular metering
chamber therebetween, where at least a portion of the metering valve is treated to
have a layer of a plasma polymer bonded to at least a portion of an internal surface
of the metering chamber.
9. Apparatus as claimed in claim 8 in which at least a portion of the surface of the
valve member has the layer of plasma polymer bonded thereto.
10. Apparatus as claimed in claim 8 or claim 9 in which at least a portion of the surface
of the valve stem has the layer of plasma polymer bonded thereto.
11. Apparatus as claimed in any one of claims 8 to 10 in which at least a portion of the
surface of the seals have the layer of plasma polymer bonded thereto.
12. Apparatus as claimed in any one of claims 8 to 11 in which the valve further comprises
a valve body in which the valve member is located, the valve body having the layer
of plasma polymer bonded to at least a portion of its surface.
13. Apparatus as claimed in any one of claims 8 to 12 further comprising a gasket extending
between the sealing surfaces of the metering valve and a pressurised dispensing container,
said gasket having the layer of plasma polymer bonded to at least a portion of the
surface thereof.